| NPI | 1528163722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0000X Registered Nurse, Pain Management (Licence: MD R108003) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP010880) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R108003) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2018-10-24 |