| NPI | 1881001642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: PA SP013895) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA SP013895) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP013895) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP013895) | |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2023-11-22 |