| NPI | 1225026941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN1649932) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ARNP1649932) |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2018-12-03 |