| NPI | 1669444741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2016031429) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: VA 0001095327) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2016-10-05 |