NPI | 1235886995 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 2339814) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: MA 2339814) |
Enumeration Date | 2022-03-03 |
Last Update Date | 2023-07-17 |