| NPI | 1124679881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP145042) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: TX 858525) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2020-12-01 |