NPI | 1316608029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95018844) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA 95018844) |
207RX0202X Internal Medicine, Medical Oncology (Licence: CA 95018844) | |
Enumeration Date | 2022-01-05 |
Last Update Date | 2022-03-28 |