NPI | 1649206905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN189107) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA RN189107) |
363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209003126) | |
Enumeration Date | 2006-06-25 |
Last Update Date | 2018-03-07 |