| NPI | 1437758489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 53890) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: ID 53890) |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2021-05-04 |