| NPI | 1598654519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4002517) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: KY 4002517) |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-09-16 |