NPI | 1447609201 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8783) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 156215) |
Enumeration Date | 2016-06-11 |
Last Update Date | 2023-05-16 |