| NPI | 1598084428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9418147) |
| Additional Taxonomies | 104100000X Social Worker |
| 163W00000X Registered Nurse (Licence: FL RN9418147) | |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2018-10-16 |