| NPI | 1356889232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL APRN9208715) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL APRN9208715) |
| 363L00000X Nurse Practitioner (Licence: FL APRN9208715) | |
| 163W00000X Registered Nurse (Licence: FL RN9208715) | |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2023-07-28 |