NPI | 1427637461 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL APRN11012460) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11012460) |
207R00000X Internal Medicine (Licence: FL APRN11012460) | |
Enumeration Date | 2021-04-06 |
Last Update Date | 2023-07-27 |