| NPI | 1902664410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11028625) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL 11028625) |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2024-03-15 |