NPI | 1972769388 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3075) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60143760) |
Enumeration Date | 2008-08-05 |
Last Update Date | 2013-06-20 |