| NPI | 1497803308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: IN 71000377A) |
| Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: IN 71000377A) |
| 363LF0000X Nurse Practitioner Family (Licence: IN 71000377A) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2023-03-07 |