| NPI | 1194492637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11384) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: WI 200885-30) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 11384) | |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2022-10-06 |