NPI | 1508479536 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 1-189908) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN261435) |
Enumeration Date | 2020-08-28 |
Last Update Date | 2023-08-31 |