| NPI | 1629815311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020598) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: NC 334052) |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2024-08-21 |