NPI | 1457753204 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10478) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ RN 151213) |
363L00000X Nurse Practitioner (Licence: AZ AP10478) | |
Enumeration Date | 2014-09-24 |
Last Update Date | 2024-02-23 |