NPI | 1669951836 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 316752) |
Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: AZ RN109702) |
Enumeration Date | 2018-08-09 |
Last Update Date | 2024-12-11 |