| NPI | 1578244372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 10529) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: MN 2294050) |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2023-09-13 |