| NPI | 1699700484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 900417) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 900417) |
| 208600000X Surgery (Licence: NC 0009-00417) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2025-09-26 |