| NPI | 1720734049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 30776) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: TN 30776) |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-03-29 |