NPI | 1073548350 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS R858593) |
Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MS R858593) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2023-10-31 |