| NPI | 1023506862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA APO9681) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: LA AP09681) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-06-29 |