NPI | 1184026031 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7326) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP7326) |
363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3132) | |
Enumeration Date | 2014-09-23 |
Last Update Date | 2025-05-25 |