| NPI | 1396342713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 70226834405) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: NV 835835) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2023-03-30 |