NPI | 1568827053 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 339403) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: NY 647787) |
Enumeration Date | 2015-12-28 |
Last Update Date | 2018-08-21 |