| NPI | 1548821077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011927) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: NC 250112) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-07-31 |