| NPI | 1407344724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: NC 5011124) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC 5011124) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: NC 5011124) | |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2022-04-22 |