| NPI | 1427567197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 342325) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: NY 342325) |
| 363LF0000X Nurse Practitioner Family (Licence: CO APN.1000402-NP) | |
| 363LF0000X Nurse Practitioner Family (Licence: TX 1187818) | |
| 363LF0000X Nurse Practitioner Family (Licence: OH 0037109) | |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2025-05-13 |