NPI | 1679505275 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP1246) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ RN083158) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2020-03-05 |