NPI | 1447327002 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 251763) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024166586) |
363LP2300X Nurse Practitioner, Primary Care (Licence: CO NP 10274) | |
Enumeration Date | 2006-11-29 |
Last Update Date | 2021-11-19 |