NPI | 1033870456 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 363L00000X) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: TX F11200688) |
207RR0500X Internal Medicine, Rheumatology (Licence: TX 1026508) | |
363L00000X Nurse Practitioner (Licence: TX 1026508) | |
Enumeration Date | 2022-01-07 |
Last Update Date | 2023-03-17 |