NPI | 1851928378 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03555) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: IL 041443069) |
363LF0000X Nurse Practitioner, Family (Licence: IL 209024605) | |
Enumeration Date | 2020-03-25 |
Last Update Date | 2023-08-03 |