NPI | 1336523836 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT RN28625) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MT 100515) |
Enumeration Date | 2015-07-14 |
Last Update Date | 2022-01-05 |