NPI | 1457851552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN2749682) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ARNP2749682) |
363L00000X Nurse Practitioner (Licence: NH EL10865) | |
363L00000X Nurse Practitioner (Licence: FL APRN2749682) | |
Enumeration Date | 2018-02-15 |
Last Update Date | 2024-02-05 |