| NPI | 1730669979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176507) |
| Additional Taxonomies | 364SX0200X Clinical Nurse Specialist, Oncology (Licence: VA 0024176507) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-08-17 |