NPI | 1346815065 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 257975) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 257975) |
Enumeration Date | 2021-05-25 |
Last Update Date | 2021-05-25 |