NPI | 1770826505 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 254396) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN177974) |
Enumeration Date | 2013-03-29 |
Last Update Date | 2023-08-04 |