NPI | 1124749452 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5016938) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 5016938) |
207RX0202X Internal Medicine, Medical Oncology (Licence: NC AG06220161) | |
Enumeration Date | 2022-09-06 |
Last Update Date | 2023-10-22 |