NPI | 1457761348 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 309784) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN144979) |
Enumeration Date | 2014-05-01 |
Last Update Date | 2024-09-03 |