NPI | 1992296768 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ AP11679) |
Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: AZ AP11679) |
363LF0000X Nurse Practitioner, Family (Licence: AZ AP11679) | |
Enumeration Date | 2018-05-28 |
Last Update Date | 2023-12-14 |