NPI | 1699927822 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP 3366) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP009978) |
Enumeration Date | 2008-10-21 |
Last Update Date | 2023-08-24 |