NPI | 1295144749 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8071) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: AZ RN156324) |
Enumeration Date | 2014-08-08 |
Last Update Date | 2017-05-06 |