NPI | 1275382913 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 28746) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 28746) |
207R00000X Internal Medicine (Licence: SC 28746) | |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: SC 28746) | |
Enumeration Date | 2024-05-15 |
Last Update Date | 2024-05-15 |