NPI | 1932709656 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 254263) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AZ RN200143) |
Enumeration Date | 2020-10-30 |
Last Update Date | 2022-08-08 |