| NPI | 1558347195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9312607) |
| Additional Taxonomies | 364SX0200X Clinical Nurse Specialist, Oncology (Licence: IL 209-002791) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209008710) | |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2026-04-30 |