NPI | 1720350887 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NC 5010872) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010872) |
Enumeration Date | 2012-02-06 |
Last Update Date | 2023-08-21 |