NPI | 1689459224 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 221070) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 221070) |
363L00000X Nurse Practitioner (Licence: AZ 221070) | |
Enumeration Date | 2023-08-30 |
Last Update Date | 2024-12-09 |