| NPI | 1508342817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R184543) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: MD R184543) |
| 174H00000X Health Educator | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: MD R184543) | |
| 207P00000X Emergency Medicine (Licence: MD R184543) | |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: MD R184543) | |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: MD R184543) | |
| 2083B0002X Preventive Medicine, Obesity Medicine (Licence: MD R184543) | |
| 2083T0002X Preventive Medicine, Medical Toxicology (Licence: MD R184543) | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MD R184543) | |
| 208D00000X General Practice (Licence: MD R184543) | |
| 208M00000X Hospitalist (Licence: MD R184543) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: MD R184543) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MD R184543) | |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2025-06-19 |