| NPI | 1508343864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 24496) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: TN 24496) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2024-01-07 |