| NPI | 1417269234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: FL 11010398) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2021-09-03 |