| NPI | 1699520478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.030747) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: IL 041.462528) |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-12-06 |