| NPI | 1346882198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019040449) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: MO 2013035211) |
| 163WN0800X Registered Nurse, Neuroscience (Licence: KS 13-124894-031) | |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2023-11-27 |