NPI | 1063161081 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 12.010477) |
Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: CT 12.10477) |
Enumeration Date | 2022-03-18 |
Last Update Date | 2022-04-28 |