| NPI | 1740209246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA SP008025) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP008025) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP008025) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2016-07-20 |