| NPI | 1417396870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: WY 320001245) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: WY 320000.1245) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2021-07-26 |