| NPI | 1164983318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-152199) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-152199) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL 1-152199) | |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2023-07-31 |