| NPI | 1962898023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R1760907) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: MD R176907) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1035031) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: DC RN1035031) | |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2026-05-21 |