NPI | 1992574768 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 300841) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 300841) |
Enumeration Date | 2023-12-21 |
Last Update Date | 2025-02-21 |