| NPI | 1265511448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2610) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: AZ RN097577) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2021-05-13 |