| NPI | 1376027409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NY 343636) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 343636) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2023-06-30 |