| NPI | 1689005043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R178347) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: MD R178347) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R178347) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R210237) | |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2021-12-22 |