| NPI | 1134867450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ RN200865) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 279163) |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2025-01-10 |