NPI | 1235881772 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 25756) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 25756) |
Enumeration Date | 2022-01-26 |
Last Update Date | 2023-09-25 |