| NPI | 1780346072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95019345) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA 494033) |
| 163W00000X Registered Nurse (Licence: CA 494033) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: CA 494033) | |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2023-09-10 |