NPI | 1326407628 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8365) |
Additional Taxonomies | 251E00000X Home Health (Licence: AZ AP8365) |
Enumeration Date | 2016-02-15 |
Last Update Date | 2022-07-21 |