| NPI | 1356684377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP012846) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA SP012846) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2022-04-29 |