NPI | 1962022319 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA F03190142) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: CA 787514) |
Enumeration Date | 2020-04-25 |
Last Update Date | 2020-04-25 |