NPI | 1518610252 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11011740) |
Additional Taxonomies | 261QX0200X Clinic/Center, Oncology |
Enumeration Date | 2022-02-02 |
Last Update Date | 2024-04-10 |