NPI | 1407225733 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8364) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 144449) |
Enumeration Date | 2015-09-16 |
Last Update Date | 2023-04-06 |