| NPI | 1336792829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11004910) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: FL RN9335226) |
| 363L00000X Nurse Practitioner (Licence: FL RN9335226) | |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-11-19 |