NPI | 1194550129 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN333777) |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: GA RN333777) |
Enumeration Date | 2024-09-09 |
Last Update Date | 2025-01-23 |