NPI | 1235821208 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1115290) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: TX 959274) |
Enumeration Date | 2023-05-25 |
Last Update Date | 2024-07-19 |