NPI | 1487354080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN265304) |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: GA RN265304) |
Enumeration Date | 2023-03-03 |
Last Update Date | 2023-06-06 |