| NPI | 1609545334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 60169) |
| Additional Taxonomies | 2086S0127X Surgery Trauma Surgery (Licence: NM 60169) |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2023-05-26 |