| NPI | 1912789298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN268945) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: GA RN268945) |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2025-04-28 |