NPI | 1275186413 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 226041) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN161170) |
Enumeration Date | 2019-07-17 |
Last Update Date | 2021-11-04 |