NPI | 1417578550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95015329) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: CA 95136715) |
Enumeration Date | 2020-04-29 |
Last Update Date | 2020-09-02 |