NPI | 1609363134 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11027035) |
Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: NY 431266) |
Enumeration Date | 2018-04-19 |
Last Update Date | 2025-07-15 |