| NPI | 1306068325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QX0200X Clinic/Center, Oncology (Licence: 301982) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 301982) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |