NPI | 1619568623 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1020302) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: TX 844172) |
Enumeration Date | 2021-02-01 |
Last Update Date | 2025-10-08 |