NPI | 1649214032 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1892) |
Additional Taxonomies | 372500000X Chore Provider (Licence: AZ NP 1892, RN 126306) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2022-07-21 |