| 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 |