| NPI | 1801112446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 0000027995) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 7293) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2020-09-01 |