| NPI | 1215604459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR 217191) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: AR 217191) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AR 217191) | |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2021-08-25 |