| NPI | 1376599035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: AL 1-180183) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AL 0816-2048C) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2021-08-28 |