| NPI | 1699566307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 242316) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: LA RN145271) |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2025-07-02 |