NPI | 1497033468 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP4134) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4134) |
Enumeration Date | 2011-07-25 |
Last Update Date | 2023-09-12 |