NPI | 1841954641 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 202112847NP-PP) |
Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine (Licence: OR 202112847NP-PP) |
Enumeration Date | 2021-10-27 |
Last Update Date | 2024-10-09 |