NPI | 1104601871 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5020177) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC AG08230106) |
163WX0200X Registered Nurse, Oncology (Licence: NC 311483) | |
Enumeration Date | 2023-08-30 |
Last Update Date | 2024-08-07 |