NPI | 1558875435 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10908) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201908209NP-PP) |
Enumeration Date | 2017-11-29 |
Last Update Date | 2022-10-06 |