| NPI | 1457953762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: PA SP026761) |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: FL APRN11036495) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209021051) | |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2025-01-27 |