| NPI | 1366141467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP026984) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: PA SP026984) |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-05-04 |