| NPI | 1518178003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 201922) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: NC 201922) |
| 363LC1500X Nurse Practitioner, Community Health (Licence: NC 201922) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2023-11-27 |