| NPI | 1235722000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 55924) |
| Additional Taxonomies | 364SN0800X Clinical Nurse Specialist, Neuroscience (Licence: ID 55924) |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2021-03-03 |