| NPI | 1326971854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11049373) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: FL RN9542215) |
| Enumeration Date | 2026-06-04 |
| Last Update Date | 2026-07-21 |