| NPI | 1770253221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11022985) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: FL 9359019) |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2022-12-12 |