NPI | 1336160324 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3109) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: AR A01380) |
363LF0000X Nurse Practitioner, Family (Licence: AZ RN084449) | |
Enumeration Date | 2006-07-22 |
Last Update Date | 2023-08-21 |