| NPI | 1366026791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL 11015040) |
| Additional Taxonomies | 163WX0200X Registered Nurse Oncology (Licence: FL 9444187) |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2021-09-13 |