NPI | 1316324676 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 307390) |
Additional Taxonomies | 163WX0200X Registered Nurse Oncology (Licence: NY 580618) |
Enumeration Date | 2015-05-06 |
Last Update Date | 2019-03-11 |