NPI | 1982026514 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A004362) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN164370) |
Enumeration Date | 2014-01-16 |
Last Update Date | 2015-09-21 |