| NPI | 1417731340 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA SP028099)  | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP028099)  | 
| Enumeration Date | 2023-08-22 | 
| Last Update Date | 2024-05-02 |