| NPI | 1770003253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10511) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: AZ 161678) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ F06171354) | |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2021-06-03 |