| NPI | 1497008304 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 22683) | 
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA 22683) | 
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 22683) | |
| Enumeration Date | 2012-10-17 | 
| Last Update Date | 2025-10-01 |