| NPI | 1528443785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704271680) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: MI 4704271680) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |