NPI | 1194717983 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: MD R120913) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: MD R120913) |
207X00000X Orthopaedic Surgery (Licence: MD R120913) | |
363LF0000X Nurse Practitioner Family (Licence: MD R120913) | |
Enumeration Date | 2005-08-17 |
Last Update Date | 2024-01-23 |