NPI | 1669569976 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ RN055178) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP0207) |
Enumeration Date | 2006-10-06 |
Last Update Date | 2007-07-08 |