| NPI | 1619656584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 77209) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: ID 41155) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-08-08 |