NPI | 1942755863 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09165) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN182397) |
163W00000X Registered Nurse (Licence: LA RN097869) | |
363LF0000X Nurse Practitioner, Family (Licence: AZ AP9660) | |
Enumeration Date | 2016-08-20 |
Last Update Date | 2022-08-09 |