| NPI | 1376904128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308103) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: NY 647250-1) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2019-07-03 |