| NPI | 1003120486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168992) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0024168992) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: VA 0024168992) | |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2024-09-25 |