NPI | 1336575471 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP2844672) |
Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: FL ARNP2844672) |
Enumeration Date | 2013-09-20 |
Last Update Date | 2016-12-08 |