| NPI | 1528043924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 1460152) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 1460152) |
| 163WX0200X Registered Nurse, Oncology (Licence: FL 1460152) | |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2018-03-17 |