NPI | 1295225241 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11344) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 163930) |
Enumeration Date | 2018-05-15 |
Last Update Date | 2024-05-14 |