| NPI | 1609441096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 091190-23) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: PA SP023139) |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2023-06-12 |