| NPI | 1740067131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5018975) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: NC 269267) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5018975) | |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-11-02 |