| NPI | 1659770576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201907059) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OR 201907059NP-PP) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2019-08-13 |