| NPI | 1083251821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR 123568) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: AR R87962) |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2020-01-16 |