| NPI | 1255141131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704370691) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: MI 4704370691) |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2025-10-22 |