| NPI | 1427203132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 63317) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM I-05649) |
| 1041C0700X Social Worker, Clinical (Licence: NM C-05649) | |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2024-04-22 |