| NPI | 1003044181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001111488) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: VA 0001111488) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2009-06-26 |