| NPI | 1235807678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11036949) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: 0101144) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2025-03-27 |