| NPI | 1649612078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201401416NP-PP) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: OR 38832RN) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2014-04-01 |