| NPI | 1285187260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP016276) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: PA RN618691) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2017-04-14 |