NPI | 1154092948 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN255687) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: GA 580) |
Enumeration Date | 2021-09-22 |
Last Update Date | 2022-09-15 |