| NPI | 1326730714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 11026490) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: FL 11026490) |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2024-02-06 |