NPI | 1336827260 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1093379) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: TX 983495) |
Enumeration Date | 2023-07-10 |
Last Update Date | 2023-10-25 |