NPI | 1508599317 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024184658) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0024184658) |
Enumeration Date | 2022-07-08 |
Last Update Date | 2024-01-05 |