NPI | 1962742049 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 222971) |
Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine (Licence: AZ 222971) |
Enumeration Date | 2013-02-26 |
Last Update Date | 2019-11-15 |