| NPI | 1801335591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: IN 71006881A) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: IN 71006881A) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: IN 71006881A) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: IN 71006881A) | |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2024-12-03 |