| NPI | 1255728515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F339058-1) |
| Additional Taxonomies | 163WX0800X Registered Nurse Orthopedic (Licence: NY 593737-1) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2015-06-10 |