NPI | 1306535489 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP027962) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NC 316607) |
163WX0200X Registered Nurse, Oncology (Licence: PA RN776108) | |
Enumeration Date | 2023-05-03 |
Last Update Date | 2025-05-01 |