| NPI | 1215083464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA 254810) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 254810) |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2010-11-02 |