NPI | 1609046721 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ AP10525) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN0000013307) |
Enumeration Date | 2008-03-04 |
Last Update Date | 2020-03-30 |