| NPI | 1457629859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL APRN11021029) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 714442) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2023-01-03 |