NPI | 1417433350 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11545) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: VA 0001278201) |
363LF0000X Nurse Practitioner, Family (Licence: AZ TAP11545) | |
Enumeration Date | 2018-07-13 |
Last Update Date | 2021-10-17 |