| NPI | 1710521778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN239269) |
| Additional Taxonomies | 163WN0800X Registered Nurse Neuroscience (Licence: GA RN239269) |
| Enumeration Date | 2019-11-03 |
| Last Update Date | 2022-09-21 |