| NPI | 1508802547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN196643) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: DC 65316) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2012-07-13 |