| NPI | 1932124047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 22171) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 114052) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2019-08-20 |