NPI | 1326310020 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 363L00000X) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ TAP4356) |
Enumeration Date | 2012-01-27 |
Last Update Date | 2021-01-27 |