| NPI | 1497858534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71003205A) |
| Additional Taxonomies | 163WX0800X Registered Nurse Orthopedic (Licence: IN 28144532A) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2023-11-13 |