NPI | 1669140919 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 234633) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 234633) |
Enumeration Date | 2021-09-01 |
Last Update Date | 2025-07-23 |