| NPI | 1003368531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9442554) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: FL ARNP 9442554) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2020-10-29 |