| NPI | 1275387060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: NC 5020746) |
| Additional Taxonomies | 163WX0200X Registered Nurse Oncology (Licence: NC 224016) |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-09-09 |