| 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 |