NPI | 1205433687 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SX0200X Clinical Nurse Specialist, Oncology (Licence: FL APRN11009559) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11009559) |
Enumeration Date | 2020-10-08 |
Last Update Date | 2020-12-15 |