NPI | 1184072225 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8911) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN139039) |
Enumeration Date | 2016-05-31 |
Last Update Date | 2017-02-08 |