NPI | 1205386729 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0001191856) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0024174091) |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024174091) | |
Enumeration Date | 2016-10-07 |
Last Update Date | 2024-12-16 |