| NPI | 1235217696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP008549) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: PA SP014118) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2025-01-13 |