| NPI | 1689338741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: FL APRN11015497) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11015497) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2024-11-12 |