NPI | 1922716133 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: TX 1090344) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1090344) |
Enumeration Date | 2022-11-08 |
Last Update Date | 2024-09-17 |