NPI | 1790478154 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 9507288) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: CA 739170) |
Enumeration Date | 2023-05-31 |
Last Update Date | 2024-03-05 |