NPI | 1457922783 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 280587) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ f06211981) |
363LF0000X Nurse Practitioner, Family (Licence: TX F0621181) | |
Enumeration Date | 2021-07-07 |
Last Update Date | 2024-09-25 |