NPI | 1235749284 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA RN225633) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN225633) |
Enumeration Date | 2020-08-05 |
Last Update Date | 2022-05-17 |