NPI | 1477571347 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-005489) |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: CA 306471) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2019-06-18 |