| NPI | 1265033930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: TX 1029237) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: TX F01210800) |
| 163WG0000X Registered Nurse, General Practice (Licence: TX 849550) | |
| Enumeration Date | 2020-11-08 |
| Last Update Date | 2021-02-03 |