| NPI | 1982122438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 23112) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TN 23112) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2022-07-21 |