| NPI | 1073005997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308708) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 681624) |
| 2086S0129X Surgery, Vascular Surgery (Licence: NY 308708) | |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2023-06-30 |