| NPI | 1821502105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 308585) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: NY 664433) |
| Enumeration Date | 2017-11-25 |
| Last Update Date | 2019-04-08 |