| NPI | 1033734173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015453) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 71010079A) |
| 363L00000X Nurse Practitioner (Licence: IN 71010079A) | |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2023-10-11 |