| NPI | 1518855485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5022488) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: NC 5022488) |
| 363LF0000X Nurse Practitioner Family (Licence: NC 5022488) | |
| Enumeration Date | 2025-06-27 |
| Last Update Date | 2025-08-13 |