| NPI | 1720612096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 71009977A) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: IN 71009977A) |
| 363L00000X Nurse Practitioner (Licence: IN 71009977A) | |
| 363L00000X Nurse Practitioner (Licence: KY 3014110) | |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2021-11-08 |