| NPI | 1881995140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9315700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL APRN9315700) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL APRN9315700) | |
| 363L00000X Nurse Practitioner (Licence: MI 4704320850) | |
| 363L00000X Nurse Practitioner (Licence: IA A114736) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9315700) | |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2022-08-25 |