| NPI | 1508594318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95021089) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: CA 95054175) |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2023-11-03 |