| NPI | 1821048968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11013383) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2021-05-31 |