| NPI | 1417488644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024174067) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: VA 0024174067) |
| 208600000X Surgery (Licence: VA 0024174067) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: VA 0024174967) | |
| 364SX0200X Clinical Nurse Specialist, Oncology (Licence: VA 0024174067) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2024-07-20 |