NPI | 1992116958 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 269495) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL Arnp2918082) |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN2918082) | |
Enumeration Date | 2014-05-13 |
Last Update Date | 2024-06-27 |