NPI | 1871031252 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: AZ AP9865) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ AP9865) |
Enumeration Date | 2017-02-06 |
Last Update Date | 2017-02-06 |