NPI | 1538189295 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN138231) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA RN138231) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2024-07-30 |