| NPI | 1821507419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R153028) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: MD R153028) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R153028) | |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2022-11-09 |