NPI | 1518621606 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11014537) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN266021) |
364SX0200X Clinical Nurse Specialist, Oncology (Licence: FL 11014537) | |
Enumeration Date | 2021-10-26 |
Last Update Date | 2024-07-25 |