NPI | 1275596371 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ RN062815) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 0614) |
Enumeration Date | 2006-04-10 |
Last Update Date | 2015-07-24 |