| NPI | 1619138237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP2879) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: AZ AP 2879) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2018-03-17 |