| NPI | 1811421381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5009439) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: NC 5009439) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2024-02-05 |