NPI | 1669919320 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-102435) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-102435) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 1-102435) | |
Enumeration Date | 2017-01-19 |
Last Update Date | 2023-09-11 |