NPI | 1174341507 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP030762) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: PA SP030762) |
Enumeration Date | 2024-10-03 |
Last Update Date | 2024-10-03 |