| NPI | 1114499738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0136453) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: NY 602449) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 345985) | |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2023-12-06 |