| NPI | 1982845046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9334229) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2023-03-19 |