| NPI | 1164749073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 621734) |
| Additional Taxonomies | 364SX0200X Clinical Nurse Specialist, Oncology (Licence: TX 621734) |
| Enumeration Date | 2010-05-01 |
| Last Update Date | 2011-11-01 |