NPI | 1639359417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5012) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 22049) |
Enumeration Date | 2007-11-08 |
Last Update Date | 2015-12-17 |