NPI | 1679657720 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 900141) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 900141) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2009-04-07 |