| NPI | 1437511896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP8316) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ AP316) |
| 363L00000X Nurse Practitioner (Licence: AZ TAP83316) | |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2020-12-07 |