NPI | 1548982523 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 289036) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AZ RN200021) |
Enumeration Date | 2022-09-15 |
Last Update Date | 2023-06-19 |