| NPI | 1861675704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704149510) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: MI 47041949510) |
| 363L00000X Nurse Practitioner (Licence: MI 4704149510) | |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2019-11-01 |