| NPI | 1659922342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 345231) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: NY 740188) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-11-13 |