| NPI | 1952650749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71010252A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007664) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: KY 3007664) | |
| 363L00000X Nurse Practitioner (Licence: KY 3007664) | |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2022-08-03 |