| NPI | 1053719161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: ID CNS-73A) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: ID CNS-73A) |
| 163W00000X Registered Nurse (Licence: ID N-38361) | |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2024-05-15 |