NPI | 1447809926 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 233369) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 233369) |
Enumeration Date | 2019-09-08 |
Last Update Date | 2023-01-10 |