| NPI | 1356760011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A087662) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN144548) |
| 163WP0000X Registered Nurse, Pain Management (Licence: AZ RN144548) | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2024-05-23 |