NPI | 1598283574 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 7202) |
Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: CT 7202) |
Enumeration Date | 2017-08-30 |
Last Update Date | 2017-12-04 |