| NPI | 1558775163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006918) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5006918) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: NC 5006918) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5006918) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5006918) | |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2024-03-28 |