| NPI | 1417578550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95015329) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: CA 95136715) |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-09-02 |