NPI | 1588227227 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OK R0101357) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK R0101357) |
Enumeration Date | 2019-04-18 |
Last Update Date | 2025-03-04 |