NPI | 1104434513 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 832734) |
Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: NV 832734) |
Enumeration Date | 2020-07-22 |
Last Update Date | 2022-07-10 |