| NPI | 1720661143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5014362) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: NC 5014362) |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2023-11-28 |