| NPI | 1831467042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024169641) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: VA 0001096115) |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2012-04-19 |