| NPI | 1235404013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: TN 16534) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 16534) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2021-06-14 |