| NPI | 1154621449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP010847) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: PA SP010847) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2014-04-14 |