| NPI | 1740965714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11028956) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: FL RN9363808) |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-10-02 |