NPI | 1942679188 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8035) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN160594) |
Enumeration Date | 2015-09-17 |
Last Update Date | 2015-09-17 |