NPI | 1710662960 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC005587) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MD AC005587) |
Enumeration Date | 2023-06-15 |
Last Update Date | 2023-12-20 |