NPI | 1508950015 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R056951) |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MD R056951) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2019-05-28 |