| NPI | 1194940288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 900071) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: NC 072061) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2021-01-27 |