| NPI | 1326479361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 09661) |
| Additional Taxonomies | 163WP0218X Registered Nurse, Pediatric Oncology (Licence: TN 166474) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA AP09661) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000018068) | |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2019-04-01 |