| NPI | 1023523222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11024564) |
| Additional Taxonomies | 104100000X Social Worker |
| 163W00000X Registered Nurse (Licence: FL 9392644) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-12-10 |
| Last Update Date | 2023-02-13 |