NPI | 1326049974 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP0701) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN103599) |
163W00000X Registered Nurse (Licence: AZ RN103599) | |
163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: AZ AP0701) | |
Enumeration Date | 2005-08-04 |
Last Update Date | 2013-05-24 |