| NPI | 1164720793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 15698) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024169265) |
| 364SX0200X Clinical Nurse Specialist, Oncology (Licence: VA 0024169265) | |
| 364SX0200X Clinical Nurse Specialist, Oncology (Licence: TN 15698) | |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2015-04-27 |