| NPI | 1316796733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 11682) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: MN 11682) |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-08-14 |