| NPI | 1356153621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX 1168914) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: TX 1168914) |
| Enumeration Date | 2025-01-23 |
| Last Update Date | 2025-01-24 |