NPI | 1386763019 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3319) |
Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: AZ RN132845) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2024-11-08 |