| NPI | 1932943545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND 200100) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND 200100) |
| 207T00000X Neurological Surgery (Licence: ND 200100) | |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-08-21 |