NPI | 1386002350 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP8473) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP8473) |
363LF0000X Nurse Practitioner, Family (Licence: AZ AP8473) | |
Enumeration Date | 2016-02-05 |
Last Update Date | 2021-09-16 |