| 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 |