| 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 |