| NPI | 1558134866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA RN271813) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN271813) |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2024-04-11 |