NPI | 1316347354 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: VA 0024171570) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171570) |
Enumeration Date | 2014-08-27 |
Last Update Date | 2023-06-05 |