NPI | 1679876742 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 337588) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: NY 572429) |
Enumeration Date | 2010-12-13 |
Last Update Date | 2019-05-08 |