NPI | 1811460579 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: NM 79582) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP139887) |
Enumeration Date | 2019-01-05 |
Last Update Date | 2024-06-26 |