| NPI | 1104461128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11005482) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: FL RN9433289) |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2021-08-09 |