| NPI | 1801102371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704261280) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: MI 4704261280) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2016-08-01 |