| NPI | 1639809346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 26297) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 26297) |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2025-08-07 |