| NPI | 1831351642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024168743) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE APN-0001489) |
| 363L00000X Nurse Practitioner (Licence: DE LB-0000213) | |
| 163WX0200X Registered Nurse, Oncology (Licence: VA RN0001169340) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0017139723) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2015-07-30 |