NPI | 1386312445 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 263470) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 263470) |
Enumeration Date | 2021-09-02 |
Last Update Date | 2024-02-15 |