| NPI | 1386893121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 22375) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: SC 201989) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2018-12-03 |