| NPI | 1164186169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5015413) |
| Additional Taxonomies | 163WX0200X Registered Nurse Oncology (Licence: NC 160569) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2021-11-29 |