| NPI | 1184324600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 7238081-8900) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: UT 7238081) |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2024-07-15 |