NPI | 1003563271 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 220618) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R081287) |
163WX0200X Registered Nurse, Oncology (Licence: AR R081287) | |
Enumeration Date | 2022-03-07 |
Last Update Date | 2024-03-04 |