NPI | 1184017378 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F340406-1) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: NY 662994-1) |
Enumeration Date | 2015-03-11 |
Last Update Date | 2017-02-08 |