| NPI | 1730780073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN216951) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: GA RN216951) |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-12-09 |