NPI | 1215333604 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012172) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 209.012172) |
Enumeration Date | 2014-11-12 |
Last Update Date | 2021-12-21 |