| NPI | 1043905961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024186304) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: MD AC005605) |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2024-06-21 |