| NPI | 1245576891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 241584) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 21961) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 27029) | |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2022-09-21 |