NPI | 1083096291 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421201) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 615930) |
163WX0200X Registered Nurse, Oncology (Licence: NY 615930) | |
Enumeration Date | 2015-06-24 |
Last Update Date | 2023-04-12 |