| NPI | 1619536935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704306565) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: MI 4704306565) |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-07-11 |