| NPI | 1881797694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71003191A) |
| Additional Taxonomies | 163WX0800X Registered Nurse Orthopedic (Licence: IN 28144441A) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2015-08-18 |