| NPI | 1376835231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R198334) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: NY 342916) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2024-02-13 |