NPI | 1174046130 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA F07170042) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA AP09595) |
363LF0000X Nurse Practitioner, Family (Licence: LA AP09595) | |
Enumeration Date | 2017-07-21 |
Last Update Date | 2019-08-20 |