NPI | 1265851927 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5458) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN139069) |
Enumeration Date | 2014-04-09 |
Last Update Date | 2016-05-13 |