| NPI | 1528686904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL F11240218) |
| Enumeration Date | 2020-07-11 |
| Last Update Date | 2024-12-11 |