| NPI | 1730789926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 28451) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: TN 28451) |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-11-30 |