| NPI | 1093679524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC F11250688) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NC F11250688) |
| Enumeration Date | 2025-12-10 |
| Last Update Date | 2025-12-11 |