| NPI | 1245428994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP2759) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: AZ AP 2759) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2018-07-16 |