NPI | 1881960052 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: VA 0024173317) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024173317) |
363LA2100X Nurse Practitioner, Acute Care (Licence: MD R201292) | |
Enumeration Date | 2012-04-01 |
Last Update Date | 2025-08-25 |