| NPI | 1750557872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5018075) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P004420) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2023-07-25 |