| NPI | 1124074919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: HI APRN-715) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-715) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2024-02-27 |