NPI | 1881331593 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5019945) |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: NC 5019945) |
Enumeration Date | 2022-05-14 |
Last Update Date | 2024-07-19 |