NPI | 1598391393 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 240348) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95030287) |
163W00000X Registered Nurse (Licence: AZ RN181447) | |
163W00000X Registered Nurse (Licence: WA RN60691817) | |
Enumeration Date | 2020-03-12 |
Last Update Date | 2021-03-31 |