| NPI | 1952166910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 208600000X Surgery (Licence: NC F01240908) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC F01240908) | |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-05-10 |