| NPI | 1760854004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 78442) |
| Additional Taxonomies | 364SX0200X Clinical Nurse Specialist Oncology (Licence: KS 76953) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2022-01-26 |