| NPI | 1447028923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WN0800X Registered Nurse, Neuroscience (Licence: VA 0001254642) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024188989) |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2023-12-14 |