NPI | 1396069357 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3641) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN090279) |
Enumeration Date | 2010-03-19 |
Last Update Date | 2022-07-21 |