| NPI | 1578291258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: LA 229605) |
| Additional Taxonomies | 163WX0800X Registered Nurse Orthopedic (Licence: LA RN155232) |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2025-08-12 |