| NPI | 1790567931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: FL APRN11023360) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023360) |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2024-01-10 |