| NPI | 1063841666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ TAP5284) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: AZ AP5284) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2024-07-15 |