| NPI | 1255476735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 115238) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: MA 115238) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2012-01-25 |