| NPI | 1518432590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2018042342) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: KS 13-116251-102) |
| 163WN0800X Registered Nurse, Neuroscience (Licence: MO 2011029292) | |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2019-05-14 |