| NPI | 1982103586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11300) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: AZ RN145115) |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2020-06-19 |