NPI | 1225737935 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: NC 5017821) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017821) |
Enumeration Date | 2023-03-01 |
Last Update Date | 2024-08-12 |