| NPI | 1649506635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MO 105522) |
| Additional Taxonomies | 364SX0200X Clinical Nurse Specialist Oncology (Licence: MO 105522) |
| 163W00000X Registered Nurse (Licence: MO 105522) | |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2014-10-09 |