NPI | 1922342013 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4776) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN095727) |
Enumeration Date | 2012-11-15 |
Last Update Date | 2023-03-27 |