| NPI | 1649162124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL APRN11040438) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: FL APRN11040438) |
| 208000000X Pediatrics (Licence: FL APRN11040438) | |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2025-08-08 |