NPI | 1316997349 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4137) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN115612) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2022-07-21 |