| NPI | 1760194351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL 11030811) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H172225) |
| Enumeration Date | 2022-12-15 |
| Last Update Date | 2025-04-24 |