| NPI | 1962907170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024175988) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: VA 0024175988) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2024-11-08 |