NPI | 1043836927 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11024781) |
Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: FL RN9437879) |
Enumeration Date | 2020-06-17 |
Last Update Date | 2023-03-28 |