| 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 |