| NPI | 1225605678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 75046) |
| Additional Taxonomies | 364SX0200X Clinical Nurse Specialist Oncology (Licence: MO 2021006512) |
| 364SX0200X Clinical Nurse Specialist Oncology (Licence: KS 75046) | |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2023-05-31 |