NPI | 1811293087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-102256) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AL 1102256) |
Enumeration Date | 2011-02-04 |
Last Update Date | 2022-02-23 |