| NPI | 1568903235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R146362) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: MD R146362) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R146362) | |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2024-07-15 |