| NPI | 1699335810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN220568) |
| Additional Taxonomies | 163WX0800X Registered Nurse Orthopedic (Licence: GA RN220568) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2025-03-13 |