| NPI | 1205855772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA NP13946) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 13946) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2016-12-12 |