NPI | 1144737297 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308593) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: NY 668718) |
Enumeration Date | 2018-01-10 |
Last Update Date | 2019-04-11 |