| NPI | 1396136768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11022568) |
| Additional Taxonomies | 104100000X Social Worker |
| 163W00000X Registered Nurse (Licence: FL RN9444757) | |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2023-11-15 |