| NPI | 1134871163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 997375) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CO F01220347) |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2022-06-09 |