NPI | 1073122941 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 10046) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: CT 127900) |
Enumeration Date | 2020-07-27 |
Last Update Date | 2023-01-03 |