| NPI | 1730952136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC 9099597) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: DC 9099597) |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2023-11-07 |