| NPI | 1861979965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT NUR-APRN-LIC-131513) |
| Additional Taxonomies | 163WX0200X Registered Nurse Oncology (Licence: MT 38208) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2024-04-08 |