| NPI | 1174035166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA RN647633) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: PA RN647633) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2018-06-16 |