| NPI | 1518317015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA A117377) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: IA A117377) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-08-05 |