| NPI | 1952631731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MS 902691) |
| Additional Taxonomies | 163WX0800X Registered Nurse Orthopedic (Licence: MS R858327) |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2019-10-16 |