| NPI | 1790936649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 568623) |
| Additional Taxonomies | 364SX0200X Clinical Nurse Specialist, Oncology (Licence: CA 3032) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2020-01-09 |