NPI | 1831670181 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024188081) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11769) |
363LF0000X Nurse Practitioner, Family (Licence: AZ RN216301) | |
Enumeration Date | 2018-08-24 |
Last Update Date | 2024-07-15 |