NPI | 1669836748 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ NP9834) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95004032) |
Enumeration Date | 2016-04-05 |
Last Update Date | 2024-07-24 |