| NPI | 1497436778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 11026613) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: FL 11026613) |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2023-08-21 |