| NPI | 1407610900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 234372) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: LA 234372) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: LA 234372) | |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-07-23 |