| NPI | 1740655521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 0001800) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: CO 63464) |
| Enumeration Date | 2015-12-05 |
| Last Update Date | 2023-03-07 |