| 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 |