NPI | 1043759418 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY f308675-1) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: NY 650161) |
Enumeration Date | 2017-02-18 |
Last Update Date | 2018-09-26 |