| NPI | 1649759945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11009314) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA SP020278) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2021-12-20 |