| NPI | 1013169077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024168047) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: VA 0024168047) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2023-10-10 |