| NPI | 1336615871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: TN 25155) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: TN 0000120431) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 25155) | |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2024-05-29 |