NPI | 1063457794 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: IL 209005778) |
Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: IL 209.005778) |
Enumeration Date | 2006-06-17 |
Last Update Date | 2021-12-21 |