| NPI | 1225525538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 251229) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: NC 5010419) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2019-04-09 |