NPI | 1346581816 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F306785-1) |
Additional Taxonomies | 163WX0200X Registered Nurse Oncology (Licence: NY 657486-1) |
163W00000X Registered Nurse (Licence: NY 657486-1) | |
Enumeration Date | 2013-03-08 |
Last Update Date | 2014-03-13 |