| NPI | 1760839062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 6854-33) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: WI 170394-30) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |