NPI | 1003303389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018010406) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MO 2018010406) |
363L00000X Nurse Practitioner (Licence: MO 2018010406) | |
Enumeration Date | 2018-04-22 |
Last Update Date | 2023-11-28 |