| NPI | 1326376096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1075) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: MN 1075) |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2019-02-13 |