| NPI | 1245248020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167150) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 058867) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2011-04-26 |