NPI | 1821034554 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP2113) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN131984) |
Enumeration Date | 2006-06-21 |
Last Update Date | 2023-03-07 |