| NPI | 1881755528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP2032) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: AZ RN130067) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MT 100236) | |
| 363L00000X Nurse Practitioner (Licence: WI 9170) | |
| 363L00000X Nurse Practitioner (Licence: MT NUR-RN-LIC-21546) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2021-09-01 |