| NPI | 1568791317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0000X Registered Nurse, Pain Management (Licence: MI 4704087899) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704087899) |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2009-12-08 |