NPI | 1427530799 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9011) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 6108) |
363L00000X Nurse Practitioner (Licence: MN 6108) | |
Enumeration Date | 2018-09-04 |
Last Update Date | 2021-08-03 |