| NPI | 1841963352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 844820) |
| Additional Taxonomies | 2086X0206X Surgery Surgical Oncology (Licence: NV 8448220) |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2022-07-26 |