NPI | 1326527508 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 226355) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 226355) |
363LG0600X Nurse Practitioner, Gerontology (Licence: AZ 226355) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 226355) | |
Enumeration Date | 2018-08-09 |
Last Update Date | 2021-10-18 |