NPI | 1942816434 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11008776) |
Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: FL APRN11008776) |
Enumeration Date | 2020-09-20 |
Last Update Date | 2022-03-18 |