NPI | 1356808265 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 220085) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0101247) |
363LF0000X Nurse Practitioner, Family (Licence: HI APRN-4561) | |
163W00000X Registered Nurse (Licence: AZ RN177699) | |
363LF0000X Nurse Practitioner, Family (Licence: OR 10019878) | |
Enumeration Date | 2019-02-27 |
Last Update Date | 2024-06-25 |