| NPI | 1336627140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 24657) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN F03180083) |
| 207LP2900X Anesthesiology Pain Medicine (Licence: TN 188477) | |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2022-03-28 |