NPI | 1245995992 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL APRN11016040) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL APRN11016040) |
208VP0000X Pain Medicine Pain Medicine (Licence: FL APRN11016040) | |
Enumeration Date | 2021-11-07 |
Last Update Date | 2022-08-23 |