| NPI | 1851125918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: UT 10919244-3102) |
| Additional Taxonomies | 163WP0000X Registered Nurse Pain Management (Licence: UT 101919244-3102) |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-08-29 |