| NPI | 1306390950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704254371) |
| Additional Taxonomies | 364SX0200X Clinical Nurse Specialist, Oncology (Licence: MI 4704254371) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2021-02-18 |