| NPI | 1659039048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IA 101512) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: IA 101512) |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2021-12-02 |