NPI | 1679312425 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 2023189187) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 2023189187) |
Enumeration Date | 2024-05-22 |
Last Update Date | 2024-08-07 |