NPI | 1972256287 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 114287) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: NE 73682) |
Enumeration Date | 2022-01-27 |
Last Update Date | 2022-07-13 |