NPI | 1164868907 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-102264) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 1-102264) |
Enumeration Date | 2013-05-20 |
Last Update Date | 2023-06-30 |