NPI | 1174826911 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 16405) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 16405) |
363L00000X Nurse Practitioner (Licence: MN R 199113-4) | |
Enumeration Date | 2010-12-17 |
Last Update Date | 2024-03-15 |