NPI | 1821155185 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2747) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA CA13108) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2019-06-05 |