NPI | 1588972954 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0000X Registered Nurse Pain Management (Licence: DE L10020701) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: DE 2009011267) |
Enumeration Date | 2010-09-20 |
Last Update Date | 2024-04-09 |