| NPI | 1548806508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP031224) |
| Additional Taxonomies | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: PA RN331355L) |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2024-11-06 |