| NPI | 1124492491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2015040600) |
| Additional Taxonomies | 163WX0200X Registered Nurse Oncology (Licence: MO 2000145839) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2017-04-19 |