| NPI | 1417653023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: UT 5252020-4405) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: UT 5252020-4405) |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2024-05-22 |