NPI | 1497949499 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8686) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 8941) |
363LN0000X Nurse Practitioner, Neonatal (Licence: AZ AP8686) | |
Enumeration Date | 2007-09-01 |
Last Update Date | 2024-12-28 |