| NPI | 1942821244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA F01210525) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: IA 138753) |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2021-09-07 |