| NPI | 1629117197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA VP003651C) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: PA RN224580L) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2010-03-03 |