| NPI | 1548159007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11042130) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9660017) |
| 163WP0000X Registered Nurse, Pain Management (Licence: FL 9660017) | |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2026-05-20 |