NPI | 1861979965 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT nur-aprn-lic-131513) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: MT 38208) |
Enumeration Date | 2018-07-23 |
Last Update Date | 2024-04-08 |