NPI | 1811427099 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: MD R157167) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R157167) |
Enumeration Date | 2017-06-19 |
Last Update Date | 2017-07-25 |