| NPI | 1932651528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9279524) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL APRN9279524) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL APRN9279524) | |
| Enumeration Date | 2016-10-29 |
| Last Update Date | 2024-07-12 |