| NPI | 1912668500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 269456) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: AZ RN208331) |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-03-07 |