NPI | 1013718097 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 12926) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: MN 2482294) |
Enumeration Date | 2025-03-24 |
Last Update Date | 2025-06-17 |