| NPI | 1104601871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5020177) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC AG08230106) |
| 163WX0200X Registered Nurse, Oncology (Licence: NC 311483) | |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2024-08-07 |