NPI | 1649421553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 292628) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA 292628 8363) |
Enumeration Date | 2008-10-09 |
Last Update Date | 2008-10-09 |