NPI | 1811608425 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F354368-01) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: NY 823447) |
Enumeration Date | 2022-12-06 |
Last Update Date | 2024-07-28 |