| NPI | 1295989051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R128808) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: MD RN128808) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2023-08-24 |