NPI | 1306330105 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 219004) |
Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: AZ RN129694) |
Enumeration Date | 2018-06-15 |
Last Update Date | 2021-09-15 |