NPI | 1174653638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ RN0494401) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN094401) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2011-08-03 |