| NPI | 1962606210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 113071) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 12542) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA 541171) | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2023-11-27 |