| NPI | 1013525310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013675) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5013675) |
| 363L00000X Nurse Practitioner (Licence: MA 2332017) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0027139) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: NC 5013675) | |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2023-05-31 |