NPI | 1225724032 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 11025802) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL 3030072) |
Enumeration Date | 2023-04-14 |
Last Update Date | 2023-04-14 |