NPI | 1871895334 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 194920) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 194920) |
207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NC 194920) | |
Enumeration Date | 2010-12-03 |
Last Update Date | 2021-05-13 |