| NPI | 1649952763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1124534) |
| Additional Taxonomies | 163WP0218X Registered Nurse, Pediatric Oncology (Licence: TX 1124534) |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-09-27 |