| NPI | 1356945794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R30524) |
| Additional Taxonomies | 208600000X Surgery (Licence: ND R30524) |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2022-04-19 |