| 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 |