| NPI | 1891576575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 298707) |
| Additional Taxonomies | 261QX0200X Clinic/Center, Oncology |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2023-10-12 |