| NPI | 1528566379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11009863) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2024-02-19 |