NPI | 1932597440 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 36898) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95008141) |
Enumeration Date | 2015-01-06 |
Last Update Date | 2025-04-13 |