| NPI | 1750846986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201900884NP-PP) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: OR 201141797RN) |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-02-01 |