| NPI | 1922634393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309687) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: NY 768405-01) |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-07-10 |