| NPI | 1720629892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11017554) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: FL 11017554) |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2026-06-23 |