NPI | 1366904740 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 99475) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: OK R0099475) |
Enumeration Date | 2019-04-03 |
Last Update Date | 2019-07-17 |