| NPI | 1255173399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 12321862-4405) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: UT 12321862-3102) |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2025-10-15 |