| NPI | 1720508492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016240) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA SP016240) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2019-01-17 |