| NPI | 1447436050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 539975) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: TX 0382849) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2019-02-05 |