| NPI | 1255785523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704249390) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: MI 4704249390) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2016-04-22 |