| NPI | 1962592956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: IN 71002499A) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IN 71002499A) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: KY 3005053) | |
| 363L00000X Nurse Practitioner (Licence: IN 71002499A) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2017-03-08 |