| NPI | 1528685120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179552) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: VA 0024179552) |
| 2086S0129X Surgery, Vascular Surgery (Licence: VA 0024179552) | |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2022-10-20 |