| NPI | 1205151156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: TN 14792) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 14792) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2020-11-24 |