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 |