NPI | 1932861366 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 270797) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN211377) |
Enumeration Date | 2021-10-13 |
Last Update Date | 2023-05-03 |