| NPI | 1740625821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9358714) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2023-11-16 |