| NPI | 1184130056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018336) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: PA SP018336) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: PA SP018336) | |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2018-03-14 |