| NPI | 1780929158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP012466) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: PA SP012466) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2023-09-01 |