| NPI | 1053846428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA 017266) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA 017266) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2023-04-04 |