| NPI | 1316359342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11022070) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2014-05-26 |
| Last Update Date | 2022-12-07 |