NPI | 1962474668 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN066868) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ NP533) |
Enumeration Date | 2006-02-06 |
Last Update Date | 2007-07-08 |