| NPI | 1164469649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704144935) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704144935) |
| 364SX0200X Clinical Nurse Specialist, Oncology (Licence: MI 4704144935) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2013-11-06 |