| NPI | 1104434513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 832734) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: NV 832734) |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2022-07-10 |