| NPI | 1376175349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KS 53-79299-071) |
| Additional Taxonomies | 207QA0401X Family Medicine Addiction Medicine (Licence: KS 53-79299-071) |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2023-04-07 |