| NPI | 1356761621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA VP006113B) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: PA RN325385L) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-04-24 |