| NPI | 1629007182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 201805000NPPP) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: GA RN091484) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-08-10 |