| NPI | 1124356811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3006270) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: KY 208VP0014X) |
| 363L00000X Nurse Practitioner (Licence: KY 3006270) | |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2020-12-08 |