| NPI | 1316943541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CT 001224) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 001224) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2012-03-07 |