| NPI | 1568827053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 339403) |
| Additional Taxonomies | 163WX0200X Registered Nurse Oncology (Licence: NY 647787) |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2018-08-21 |