| NPI | 1184874117 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WX0800X Registered Nurse, Orthopedic (Licence: DC RN46658) | 
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: MD R098741) | 
| Enumeration Date | 2008-09-26 | 
| Last Update Date | 2008-09-26 |