| NPI | 1659005395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: FL 11020674) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11020674) |
| Enumeration Date | 2022-07-09 |
| Last Update Date | 2022-08-01 |