| NPI | 1033408828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN APN0000015768) |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine (Licence: TN APN15768) |
| 363L00000X Nurse Practitioner (Licence: TN APN15768) | |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2018-07-03 |