| NPI | 1043681711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX AP128547) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128547) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2023-07-17 |