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 |