NPI | 1710507785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 147363) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-147363) |
163W00000X Registered Nurse (Licence: AL 1-147363) | |
Enumeration Date | 2020-04-20 |
Last Update Date | 2025-01-28 |