| NPI | 1336767185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5013295) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 5013295) |
| 2086S0129X Surgery Vascular Surgery (Licence: NC 5013295) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NC 5013295) | |
| 363LA2100X Nurse Practitioner Acute Care (Licence: NC 5013295) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NC 5013295) | |
| 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: NC 5013295) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: NC 5013295) | |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-08-03 |