| NPI | 1114225976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: TX AP119668) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: TX AP119668) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: TX AP119668) | |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2022-09-19 |