| NPI | 1992443584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012576A) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IN 71012576A) |
| 363AM0700X Physician Assistant, Medical (Licence: IN 71012576A) | |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2022-09-06 |