| NPI | 1750823225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9282551) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL APRN9282551) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL APRN9282551) | |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2022-09-13 |