| NPI | 1780919639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NE 9420) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71003075A) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2022-07-05 |