NPI | 1245060573 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11034575) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9293461) |
364SX0200X Clinical Nurse Specialist, Oncology (Licence: FL APRN11034575) | |
Enumeration Date | 2024-08-02 |
Last Update Date | 2024-09-11 |