| NPI | 1720568447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 7796) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 7796) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-09-19 |