NPI | 1184298697 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 313270) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: SC 24965) |
363LF0000X Nurse Practitioner, Family (Licence: SC 24965) | |
Enumeration Date | 2021-05-19 |
Last Update Date | 2024-12-03 |