| NPI | 1134772668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11002170) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL APRN11002170) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL APRN11002170) | |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2022-08-11 |