| NPI | 1861957631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 903126) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: MS 903126) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA 203427) | |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2023-11-17 |