| NPI | 1952118820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5021296) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 5021296) |
| Enumeration Date | 2024-12-14 |
| Last Update Date | 2025-04-24 |