NPI | 1669913349 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.015752) |
Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IL 209.015752) |
Enumeration Date | 2017-03-15 |
Last Update Date | 2021-12-21 |