| NPI | 1275201501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: VA 0024182570) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024182570) |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2022-03-28 |