| NPI | 1629763289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 311272) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: NY 576438-01) |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-06-27 |