| 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 |