| NPI | 1366996944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP019511) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 280058) |
| 163WX0200X Registered Nurse, Oncology (Licence: PA SP019511) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 280058) | |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2019-02-11 |