| NPI | 1952784605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.003682) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: IL 277.003682) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2025-02-03 |