| NPI | 1639840903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5018855) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: NC 226218) |
| Enumeration Date | 2021-09-25 |
| Last Update Date | 2023-10-23 |