NPI | 1326715061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 233067) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: AZ RN233067) |
Enumeration Date | 2021-08-29 |
Last Update Date | 2025-03-31 |