NPI | 1235643396 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F3421501) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: NY 6585381) |
Enumeration Date | 2017-11-28 |
Last Update Date | 2018-06-21 |