NPI | 1881705804 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1123) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 510829) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2023-03-07 |