NPI | 1134776214 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5012160) |
Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine (Licence: NC 5012160) |
Enumeration Date | 2019-08-22 |
Last Update Date | 2023-08-17 |