NPI | 1558841411 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11255) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN170616) |
Enumeration Date | 2018-08-20 |
Last Update Date | 2022-08-29 |