| NPI | 1871102897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CT 11085) |
| Additional Taxonomies | 163WX0200X Registered Nurse Oncology (Licence: CT 135298) |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2022-10-11 |