| NPI | 1689872335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 036838-23) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: NH XB0762799) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 036838-23-03) | |
| Enumeration Date | 2007-07-04 |
| Last Update Date | 2020-08-18 |