| NPI | 1841763059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A115443) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IA F01190497) |
| 363L00000X Nurse Practitioner (Licence: IA F01190497) | |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2023-01-17 |