NPI | 1811320328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11626) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9296145) |
163WE0003X Registered Nurse, Emergency (Licence: AZ RN177263) | |
Enumeration Date | 2013-08-20 |
Last Update Date | 2018-08-21 |