NPI | 1437316288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 4373) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 070610) |
363L00000X Nurse Practitioner (Licence: AZ 308) | |
Enumeration Date | 2008-05-20 |
Last Update Date | 2013-07-24 |