NPI | 1629417431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5080) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60385059) |
363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60385059) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: AZ AP5080) | |
Enumeration Date | 2013-06-14 |
Last Update Date | 2023-03-07 |