NPI | 1184884447 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 225632) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 118012) |
Enumeration Date | 2008-06-11 |
Last Update Date | 2023-01-31 |