NPI | 1003898776 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A060979) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA A060979) |
Enumeration Date | 2005-11-17 |
Last Update Date | 2016-07-18 |