NPI | 1285225367 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 253073) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN174361) |
Enumeration Date | 2021-02-01 |
Last Update Date | 2021-02-01 |