NPI | 1477584118 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP2224) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AZ RN060766) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2023-06-15 |