NPI | 1740255181 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP 1352) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN091028) |
Enumeration Date | 2006-02-21 |
Last Update Date | 2015-03-25 |