| NPI | 1518516210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: UT 7716092-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 7716092-4405) |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2020-05-29 |