| NPI | 1346593845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11006133) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2023-01-06 |