| NPI | 1083697536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 1586) |
| Additional Taxonomies | 364SX0200X Clinical Nurse Specialist, Oncology (Licence: CT 001586) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2018-05-30 |