| NPI | 1578097614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704269418) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: MI 4704269418) |
| Enumeration Date | 2017-04-15 |
| Last Update Date | 2017-04-15 |