NPI | 1588281182 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 351384) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 7446) |
Enumeration Date | 2020-06-29 |
Last Update Date | 2025-01-28 |