| NPI | 1700369436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA RN2329566) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ARNP9337459) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: FL ARNP9337459) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9337459) | |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2023-04-30 |