NPI | 1629384284 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3820) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN087460) |
Enumeration Date | 2010-08-20 |
Last Update Date | 2024-03-29 |