NPI | 1962020578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 296271) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11007312) |
Enumeration Date | 2020-07-09 |
Last Update Date | 2025-06-30 |