| NPI | 1073984639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ TAP8161) |
| Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: AZ MT3783380) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: AZ TAP8161) | |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2024-06-06 |