NPI | 1497249932 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60879562) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WA AP60879562) |
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: WA AP60879562) | |
Enumeration Date | 2018-06-19 |
Last Update Date | 2022-12-20 |