NPI | 1669079083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 246626) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 246626) |
Enumeration Date | 2020-10-08 |
Last Update Date | 2020-10-12 |