NPI | 1174607568 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-003617) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 209-003617) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2021-12-20 |