| NPI | 1023510377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 176273) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: WI 176273-30) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-03-13 |