| NPI | 1578162590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MT NUR-APRN-LIC-161835) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-161835) |
| 163WX0200X Registered Nurse, Oncology (Licence: MT NUR-RN-LIC-48856) | |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2021-12-14 |