| NPI | 1144737297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308593) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: NY 668718) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2019-04-11 |