NPI | 1093118127 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209011877) |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 041336362) |
Enumeration Date | 2014-10-03 |
Last Update Date | 2018-11-29 |