NPI | 1669664769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 6966-33) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN144584) |
363L00000X Nurse Practitioner (Licence: AZ AP2766) | |
Enumeration Date | 2007-08-13 |
Last Update Date | 2021-01-15 |