| NPI | 1720629892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL 9441018) |
| Additional Taxonomies | 163WX0200X Registered Nurse Oncology (Licence: FL 9441018) |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2021-12-30 |