NPI | 1639324858 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R168483) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R168483) |
163WP0000X Registered Nurse, Pain Management (Licence: MD R168483) | |
Enumeration Date | 2008-12-02 |
Last Update Date | 2024-04-05 |