| NPI | 1790916310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SX0200X Clinical Nurse Specialist, Oncology (Licence: NY 335901) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335901-1) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2018-06-27 |