NPI | 1194956961 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 14040) |
Additional Taxonomies | 163WP0218X Registered Nurse, Pediatric Oncology (Licence: TN 150142) |
Enumeration Date | 2009-07-28 |
Last Update Date | 2022-03-24 |