| NPI | 1982084471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 23020) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: OH 355056) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 17726) | |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2021-08-25 |