| NPI | 1942803002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704237490) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: MI 4704237490) |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2021-04-02 |