| NPI | 1033866710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 31181) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: TN 31181) |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2023-10-09 |