| NPI | 1063131274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: WA AP61324303) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA 61324303) |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2023-01-16 |