| NPI | 1164098257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL F05210780) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: FL RN9433181) |
| Enumeration Date | 2021-05-31 |
| Last Update Date | 2021-05-31 |