NPI | 1528411170 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8828) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN148202) |
Enumeration Date | 2016-07-19 |
Last Update Date | 2025-07-22 |