| NPI | 1609092626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 5287) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: TN 40008) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2014-12-03 |