| NPI | 1407571458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL RN9297855) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11022368) |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2024-07-08 |