| NPI | 1386155331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 23350) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 23350) |
| 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: TN 23350) | |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2024-01-25 |