NPI | 1184159741 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10019) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN159084) |
Enumeration Date | 2017-04-20 |
Last Update Date | 2023-09-19 |