| NPI | 1902312770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018157) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: PA RN559185) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2024-01-24 |