| NPI | 1942607098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704159664) |
| Additional Taxonomies | 364SX0200X Clinical Nurse Specialist, Oncology (Licence: MI 4704159664) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2015-03-30 |