NPI | 1619290673 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9185753) |
Additional Taxonomies | 364SX0200X Clinical Nurse Specialist, Oncology (Licence: FL ARNP9185753) |
363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9185753) | |
Enumeration Date | 2010-03-04 |
Last Update Date | 2023-02-27 |