| NPI | 1396252284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11009179) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2020-10-21 |