NPI | 1851823090 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10340) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN150201) |
Enumeration Date | 2017-03-28 |
Last Update Date | 2017-07-07 |