| NPI | 1508646852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11028230) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: FL 9548341) |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2023-10-04 |