NPI | 1437395316 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP0492) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN091975) |
Enumeration Date | 2008-12-26 |
Last Update Date | 2019-08-26 |