| NPI | 1114263407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0000X Registered Nurse, Pain Management (Licence: WA RN 00095547) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: CA 440092) |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2012-12-14 |