| NPI | 1992111405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 907706) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: MS R874410) |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2026-08-06 |