| NPI | 1932862828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 292223) |
| Additional Taxonomies | 163WP0218X Registered Nurse, Pediatric Oncology (Licence: PA RN574726) |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 12586123-4405) | |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2023-08-15 |