| NPI | 1063242659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP031095) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: PA RN557938) |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-11-18 |