| NPI | 1972458966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 125568) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: VA 0001291751) |
| Enumeration Date | 2026-03-04 |
| Last Update Date | 2026-03-04 |