| NPI | 1407487077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 815950) |
| Additional Taxonomies | 163WP0000X Registered Nurse Pain Management (Licence: NV RN46729) |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2024-08-05 |