NPI | 1083137947 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA 95010694) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95010694) |
Enumeration Date | 2017-07-24 |
Last Update Date | 2024-01-19 |