| NPI | 1508424011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309090) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: NY 661401) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |