| NPI | 1841074705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WN0800X Registered Nurse, Neuroscience (Licence: FL RN9590496) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11049339) |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2026-07-22 |