NPI | 1316781743 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP003749) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: SD R051099) |
163WX0200X Registered Nurse, Oncology (Licence: SD R051099) | |
Enumeration Date | 2024-06-20 |
Last Update Date | 2025-08-06 |