| NPI | 1407099989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024168273) |
| Additional Taxonomies | 283X00000X Rehabilitation Hospital (Licence: MD AC000689) |
| 364SN0800X Clinical Nurse Specialist, Neuroscience (Licence: VA 0024168273) | |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2021-07-07 |