| NPI | 1255477261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R086517) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MD R086517) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2022-10-03 |