| NPI | 1285241265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN196020) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: GA RN196020) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-11-10 |