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 |