NPI | 1336661529 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10202) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV NV814891) |
Enumeration Date | 2017-07-10 |
Last Update Date | 2023-05-19 |