| NPI | 1235150897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704131227) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: MI 4704131227) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2025-09-11 |