| NPI | 1043769490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 21915) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174175) |
| 163WX0200X Registered Nurse, Oncology (Licence: TN 177943) | |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2023-10-31 |