| NPI | 1669172698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2023007988) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: MO 2019009057) |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2023-10-25 |