| NPI | 1659380327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NY f333779) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY f333779) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2008-04-03 |