NPI | 1518396373 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8290) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO F1013303) |
Enumeration Date | 2013-11-02 |
Last Update Date | 2016-01-15 |