NPI | 1225224280 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2643) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 264789) |
363L00000X Nurse Practitioner (Licence: CO C-APN.0001743-C-NP) | |
363L00000X Nurse Practitioner (Licence: AZ AP2643) | |
Enumeration Date | 2007-09-24 |
Last Update Date | 2023-05-09 |