| NPI | 1316981798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: WY 33624.1314) |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine (Licence: WY 33624.1314) |
| 364S00000X Clinical Nurse Specialist (Licence: WY 33624.1314) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2019-02-27 |