NPI | 1558258657 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 114610-23) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 114610-23) |
Enumeration Date | 2025-06-20 |
Last Update Date | 2025-09-26 |