NPI | 1396160354 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 286628) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP129711) |
363L00000X Nurse Practitioner (Licence: MI 4704236507) | |
Enumeration Date | 2014-02-28 |
Last Update Date | 2023-07-17 |