| NPI | 1386047850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: AZ 223620) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 223620) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2021-01-15 |