NPI | 1730467929 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F3384471) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 75219) |
Enumeration Date | 2011-07-22 |
Last Update Date | 2023-08-29 |