| NPI | 1851170849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 14789) |
| Additional Taxonomies | 163WP0000X Registered Nurse Pain Management (Licence: WI 235860) |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2024-01-04 |