NPI | 1538301015 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3312) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APM.0004578-C-NP) |
Enumeration Date | 2009-03-31 |
Last Update Date | 2023-05-26 |