| NPI | 1356827455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018021614) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MO 2010008769) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KS 5378262062) | |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2021-03-31 |