NPI | 1912525114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MD R210372) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD R210372) |
363L00000X Nurse Practitioner (Licence: MD R210372) | |
Enumeration Date | 2020-07-14 |
Last Update Date | 2020-07-14 |