| NPI | 1780409169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN287398) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA RN287398) |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2025-02-19 |