| NPI | 1750394789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 145659) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: NY F303664 / 505421) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2014-08-18 |