| NPI | 1033367214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9183149) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9183149) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 9183149) | |
| Enumeration Date | 2008-08-31 |
| Last Update Date | 2023-05-31 |