| NPI | 1225788698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP025732) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: PA RN710420) |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2022-05-13 |