NPI | 1316635956 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95021941) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: AZ 160090) |
163WX0200X Registered Nurse, Oncology (Licence: CA 95083578) | |
Enumeration Date | 2023-05-01 |
Last Update Date | 2023-05-01 |