NPI | 1477007862 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173818) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0024173818) |
Enumeration Date | 2016-08-15 |
Last Update Date | 2023-10-16 |