NPI | 1225400682 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 23481) |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: SC 23481) |
Enumeration Date | 2015-10-26 |
Last Update Date | 2023-01-05 |