| NPI | 1679150338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11011966) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL aprn11011966) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL aprn11011966) | |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2022-08-11 |