| NPI | 1063068245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 1002433) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: FL APRN11002433) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2021-03-24 |