NPI | 1043891047 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1046598) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: TX 849745) |
Enumeration Date | 2021-04-20 |
Last Update Date | 2021-12-22 |