NPI | 1841782265 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ F07180341) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: AZ 182604) |
Enumeration Date | 2018-06-01 |
Last Update Date | 2024-12-03 |