| NPI | 1053698407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R166662) |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management (Licence: MD 449166) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2017-04-10 |