NPI | 1235861832 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 277285) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 277285) |
363LG0600X Nurse Practitioner, Gerontology (Licence: AZ 277285) | |
Enumeration Date | 2022-06-30 |
Last Update Date | 2024-04-18 |