NPI | 1366026791 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11015040) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: FL 9444187) |
Enumeration Date | 2021-05-11 |
Last Update Date | 2021-09-13 |