NPI | 1649849498 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 267546) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN193479) |
363LF0000X Nurse Practitioner, Family (Licence: AZ F11210857) | |
Enumeration Date | 2021-06-24 |
Last Update Date | 2023-01-17 |