| NPI | 1164203204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN249589) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: GA RN249589) |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2026-06-19 |