NPI | 1023890563 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1130696) |
Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: TX 1130696) |
Enumeration Date | 2023-10-19 |
Last Update Date | 2025-04-23 |