| NPI | 1467065250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR 124133) |
| Additional Taxonomies | 163WX0200X Registered Nurse Oncology (Licence: AR R078204) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-09-14 |