NPI | 1235591546 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8535) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ ap8535) |
Enumeration Date | 2016-03-25 |
Last Update Date | 2022-07-21 |