| NPI | 1366176885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP025144) |
| Additional Taxonomies | 261QX0200X Clinic/Center, Oncology (Licence: SP025144) |
| 261QX0200X Clinic/Center, Oncology (Licence: PA SP025144) | |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2022-07-11 |