| NPI | 1447998364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2022017079) |
| Additional Taxonomies | 2086S0127X Surgery Trauma Surgery (Licence: MO 2022017079) |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2024-03-20 |