| NPI | 1528511342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9348611) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9348611) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL APRN9348611) | |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2023-07-28 |