| NPI | 1457459869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 3323) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: WI 148802) |
| 363L00000X Nurse Practitioner (Licence: WI 3323-33) | |
| 367A00000X Advanced Practice Midwife (Licence: WI 139386-30) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-05-02 |