| NPI | 1457037756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 8077159-4405) |
| Additional Taxonomies | 163WP0218X Registered Nurse, Pediatric Oncology (Licence: UT 8077159-3102) |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-11-02 |