| NPI | 1245920149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432760) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: NY 875494) |
| 163WX0200X Registered Nurse, Oncology (Licence: CT 183412) | |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2024-04-16 |