| NPI | 1073301552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95090994) |
| Additional Taxonomies | 163WX0200X Registered Nurse Oncology (Licence: CA 95090994) |
| Enumeration Date | 2025-04-25 |
| Last Update Date | 2025-05-15 |