| NPI | 1225014012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WX0800X Registered Nurse, Orthopedic (Licence: KY 3851P) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: IN 71001690A) |
| 163WX0800X Registered Nurse, Orthopedic (Licence: KY 1088730) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2010-05-18 |