NPI | 1033824487 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023964) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL 11023964) |
Enumeration Date | 2023-01-19 |
Last Update Date | 2024-02-01 |